Individual
PAULA K SPOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
703 W CANAL ST, PICAYUNE, MS 39466-3918
(601) 749-9477
(601) 889-1265
Mailing address
109 DOUBLOON DR, SLIDELL, LA 70461-2715
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C5828
MS
106H00000X
Marriage & Family Therapist
C5828
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05933296
—
MS
Enumeration date
10/14/2006
Last updated
01/23/2014
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